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Introduction: Pain in labor has been problematic for women regardless their socio-economic status. Lumbar Epidural Analgesia (LEA) was suggested to provide high-quality pain relief and minimizing side-effects both for maternal and the fetus or on the outcome of labour. The aim of this study was to explore the awareness and acceptance of lumbar epidural analgesia- procedure among pregnant women. . Method: This study was a descriptive analytic using questionnaire. Eighty women consisted of 40 from rural and 40 from urban areas who planned to have delivery process at Asri Medical Center, Yogyakarta. Results. Majority of the respondents in both group 50 (66,75%) were not aware of epidural analgesia. Of the 25 (33,25%) who were aware, 12 knew it was used to relieve pain in labor and 13 had first knowledge about epidural analgesia from doctors and midwife at hospital. A majority of the respondents 65(86,66%) would accept epidural analgesia. The age of pregnant women, level of education, social economic status and number of gravida were statistically significant, except for gestational age. Both group also have expectations to have no pain delivery process (p=0.001 and p= 0,002) Conclusion. Most of the participants has not been acknowledged adequately to LEA. Nevertheless, majority of participants accept it as an option of mean of pain relief.